Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services - Washington

Organization Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1992411029

Providence Health & Services - Washington is a Hospice and Palliative Medicine (Family Medicine) Physician in Tukwila, Washington. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

2811 S 102nd St Ste 220
Tukwila, WA 98168-1869
Phone: (206) 320-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X
Pediatric Hospice and Palliative Medicine Physician Taxonomy 2080H0002X
Community Based Hospice Care Agency Taxonomy 251G00000X

Record details

NPI number1992411029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst. Secretary Enrollments · (425) 358-9786
Other names Providence Hospice Of Seattle; Providence Hospice Of Seattle
NPI enumeratedJanuary 23, 2023
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing addressPo Box 94511, Seattle, WA 98124-6811